Caesarean section..An increasing prevalence in Egypt despite the warnings of experts

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According to statistics World Health Organization Caesarean section rates around the world have tripled in 3 decades, noting that one in five children around the world is born through a caesarean section. The top five countries in terms of caesarean section rates are: the Dominican Republic with 58.1 percent, Brazil with 55.7%, Cyprus with 55.3% and Egypt with 51.8 percent, followed by Turkey with 50.8%.

material profit

Caesarean section is distinguished for doctors by its high cost and time savings, which enables the doctor to perform more than one operation per day, and generates profit for private hospitals. According to Egyptian Association of Gynecologists Private hospitals take advantage of the high cost of cesarean delivery compared to natural childbirth, as caesarean section rates reach 80%, while the rate does not exceed 40% in university hospitals.

For his part, said Dr "Moamen Zakaria" Instructor of Obstetrics and Gynecology at the Faculty of Human Medicine, Beni Suef University in Egypt, told Sky News Arabia that the medical community in developed countries, led by England and America, in recent years has been fighting hard against the unjustified increase in caesarean sections, encouraging doctors and women to give birth naturally as much as possible, and limiting Caesarean section cases medical necessity Only, confirming the increase in the number of caesarean sections in all countries of the world during the last 20 years.

Zakaria added that developing countries such as Egypt and Brazil come at the fore. In the last census in Egypt, cesarean deliveries It represents more than 50% of the birth rate, for many reasons, including what is related to doctors’ fear of legal accountability when problems occur to the mother or fetus during natural birth, such as Difficulty giving birthOr the child’s injury, complications that are likely to occur even with the oldest and most experienced doctors.

And he indicated that society does not accept the occurrence of any complications, which increases the doctors’ fears of legal accountability, and they resort to cesarean delivery, believing that it is less risky. However, recent studies have proven the incorrectness of this hypothesis, and there is a societal trend among women and their families who prefer caesarean section for reasons related to the safety of the mother and fetus, thinking that this method is the safest and least painful, and the least impact on the reproductive system of women, and doctors are forced to meet their demands.

Caesarean section risks

Regarding the risks of cesarean delivery, Dr. Moamen Zakaria confirms that: "Caesarean section is a major operation that has many complications, including more bleeding than normal delivery, and the possibility of complications from either partial or total anesthesia, as well as increasing the chances of a cesarean delivery. Premature birth In the next pregnancy, and the increased likelihood of the child needing custody after birth, which costs the state and the family additional sums".

He added that: "The most dangerous currently is the increase in the number of advanced placenta cases, which presents Mother and fetus life The risk of death, both during pregnancy as a result of severe life-threatening bleeding, or during childbirth, as well as the increased likelihood of having a procedure HysterectomyOr injury to the bladder and intestines during the operation, and the necessity of holding the patient inside the intensive care room after giving birth as a result of these complications. University hospitals are receiving two advanced placenta cases weekly.".

alternative solutions

Zakaria explained that all these repercussions represent a human cost and an economic burden on the state, and therefore national policies must be adopted aimed at reducing the rate of caesarean sections through the establishment and operation of government centers for the care of pregnant mothers, including the provision of natural childbirth services, with an equipped operating room, and a specialist Obstetrics and Gynecologyan anesthesiologist, a staff of resident physicians, and a nursing staff trained in following up on natural childbirth, with the obstetrician calling only when necessary.

And he stated: "It is possible to benefit and operate the abandoned village hospitals, and major health units for this purpose, next to the central hospitals, and all villages and cities are covered, because the number of specialists affiliated with the Ministry of Health is sufficient to cover all the governorates of the Republic, and we only need a proper redistribution with remunerative salaries in exchange for work".

He stressed the need to provide natural childbirth services without pain in government medical centers, and to provide free pregnancy and childbirth follow-up services under the umbrella of health insurance for all women, while following up on doctors’ records and rates. natural births The caesarean section performed with the reasons for the caesarean section being noted.

Dr. Moamen Zakaria also called for the state to adopt national campaigns aimed at raising awareness of the benefits of natural childbirth and the risks of an unjustified increase in caesarean deliveries, in which public figures and professors of medical colleges participate, in order to refute the false propaganda about the benefits of cesarean delivery.

Verdict: "The management of all of the above must be entrusted to specialists who do not work in the private medical sector in the field of obstetrics, in order to prevent conflict of interests, especially since the cost of all of the above procedures represents a negligible percentage of the costs of operations andobstetric complications Caesarea socially and economically on the Egyptian state, government and people".

Dr. Moamen Zakaria concluded by saying: "The intervention of doctors in the field of obstetrics needs to be reviewed and rationalized, and the ratios must be reviewed Caesarean delivery In every university, central, or public hospital, knowing the rate of complications of caesarean section and its effects on women and children, especially as it is linked to the birth of stunted children who need care costs that a simple citizen cannot afford.".

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According to statistics World Health Organization Caesarean section rates around the world have tripled in 3 decades, noting that one in five children around the world is born through a caesarean section. The top five countries in terms of caesarean section rates are: the Dominican Republic with 58.1 percent, Brazil with 55.7%, Cyprus with 55.3% and Egypt with 51.8 percent, followed by Turkey with 50.8%.

material profit

Caesarean section is distinguished for doctors by its high cost and time savings, which enables the doctor to perform more than one operation per day, and generates profit for private hospitals. According to Egyptian Association of Gynecologists Private hospitals take advantage of the high cost of cesarean delivery compared to natural childbirth, as caesarean section rates reach 80%, while the rate does not exceed 40% in university hospitals.

For his part, Dr. Moamen Zakaria, a professor of obstetrics and gynecology at the Faculty of Medicine, Beni Suef University in Egypt, told Sky News Arabia that the medical community in developed countries, led by England and America, in recent years has been fighting hard against the unjustified increase in caesarean sections, and is encouraging doctors. And women to give birth naturally as much as possible, and cases of caesarean section are limited to medical necessity Only, confirming the increase in the number of caesarean sections in all countries of the world during the last 20 years.

Zakaria added that developing countries such as Egypt and Brazil come at the fore. In the last census in Egypt, cesarean deliveries It represents more than 50% of the birth rate, for many reasons, including what is related to doctors’ fear of legal accountability when problems occur to the mother or fetus during natural birth, such as Difficulty giving birthOr the child’s injury, complications that are likely to occur even with the oldest and most experienced doctors.

And he indicated that society does not accept the occurrence of any complications, which increases the doctors’ fears of legal accountability, and they resort to cesarean delivery, believing that it is less risky. However, recent studies have proven the incorrectness of this hypothesis, and there is a societal trend among women and their families who prefer caesarean section for reasons related to the safety of the mother and fetus, thinking that this method is the safest and least painful, and the least impact on the reproductive system of women, and doctors are forced to meet their demands.

Caesarean section risks

Concerning the risks of cesarean delivery, Dr. Moamen Zakaria confirms that: “Caesarean delivery is a major operation that has many complications, including more bleeding than a natural delivery, and the possibility of complications arising from anesthesia, whether mid or total, as well as increasing the chances of a cesarean delivery. Premature birth In the next pregnancy, and the increased likelihood of the child needing custody after birth, which costs the state and the family additional sums.

He added, “The most dangerous thing is the increase in the number of advanced placenta accreta, which presents Mother and fetus life The risk of death, both during pregnancy as a result of severe life-threatening bleeding, or during childbirth, as well as the increased likelihood of having a procedure HysterectomyOr injury to the bladder and intestines during the operation, and the necessity of holding the patient inside the intensive care room after giving birth as a result of these complications. University hospitals are receiving two advanced placenta cases weekly.

alternative solutions

Zakaria explained that all these repercussions represent a human cost and an economic burden on the state, and therefore national policies must be adopted aimed at reducing the rate of caesarean sections through the establishment and operation of government centers for the care of pregnant mothers, including the provision of natural childbirth services, with an equipped operating room, and a specialist Obstetrics and Gynecologyan anesthesiologist, a staff of resident physicians, and a nursing staff trained in following up on natural childbirth, with the obstetrician calling only when necessary.

And he stated: “It is possible to benefit and operate the abandoned village hospitals, and major health units for this purpose, in addition to the central hospitals, and all villages and cities are covered, because the number of specialists affiliated with the Ministry of Health is sufficient to cover all the governorates of the Republic, and we only need a sound redistribution with remunerative salaries in exchange for work.” “.

He stressed the need to provide natural childbirth services without pain in government medical centers, and to provide free pregnancy and childbirth follow-up services under the umbrella of health insurance for all women, while following up on doctors’ records and rates. natural births The caesarean section performed with the reasons for the caesarean section being noted.

Dr. Moamen Zakaria also called for the state to adopt national campaigns aimed at raising awareness of the benefits of natural childbirth and the risks of an unjustified increase in caesarean deliveries, in which public figures and professors of medical colleges participate, in order to refute the false propaganda about the benefits of cesarean delivery.

And he added: “The management of all of the above must be assigned to specialists who do not work in the private medical sector in the field of obstetrics, in order to prevent conflict of interests, especially since the cost of all of the above procedures represents a negligible percentage of the costs of operations andobstetric complications Caesarea socially and economically on the Egyptian state, government and people.

Dr. Moamen Zakaria concluded by saying: “The intervention of doctors in the field of obstetrics needs to be reviewed and rationalized, and it is necessary to review the ratios of Caesarean delivery In every university, central, or public hospital, knowing the rate of complications of caesarean section and its effects on women and children, especially as it is linked to the birth of stunted children who need care costs that a simple citizen cannot afford.”

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